This book assembles the acquired wisdom of experienced paediatricians and other clinicians involved in the care of children of all ages and stages. Its broad applicability will assist and improve healthcare of children around the world.
The art of paediatrics is complex, and the scope of clinical medicine extends far beyond that for which there is a scientific evidence base. In fact, there are many aspects of paediatrics that have not been tested in a clinical trial, nor are they easily amenable to research. With the belief that the best clinical practice is a combination of evidence-based medicine and collective anecdotal wisdom of experienced clinicians, this book offers a unique perspective on the practice of paediatric medicine.
The book is divided into four sections organised by Ages and Stages rather than organ systems, reflecting the developmental nature of paediatric practice. One section contains pearls of wisdom that are applicable to all ages. Each chapter begins with a clinical case that demonstrates how the pearl can be applied in clinical practice. This is followed by a discussion of the topic with relevant evidence-based references. The Other Gems section allows authors to share other practice points relevant to but not directly related to the clinical pearl. The purpose of this book is a desire to share information to improve the lives of our patients by helping those who care for them.
Chapter
1. If you Only See One Hole, Its the Wrong One.
Chapter
2.
Keep an Open Mind.
Chapter
3. I Thought it was a Soft Murmur!.
Chapter
4.
Collapse on Day Three of Life.
Chapter
5. When Salt is Vital.
Chapter
6.
Think Outside the Box.
Chapter
7. Ubiquitous and Silently Consuming.-
Chapter
8. Keep your Eyes, Ears and Mind Open.
Chapter
9.
Unsettled/Irritable Babies is it Angina?.
Chapter
10. Strawberry
Birthmarks: When Early Treatment Counts.
Chapter
11. Birthmarks: Should we
see the Surgeon?.
Chapter
12. Anaesthetic Safety in Children.
Chapter
13.
Food Allergy is an Uncommon Cause of Eczema.
Chapter
14. Children may have
Hidden Congenital Issues.
Chapter
15. Its Not Inappropriate.
Chapter
16.
Persistent Fever in Babies.
Chapter
17. Not All Thermometers are Created
Equal.
Chapter
18. They Arent Going to Melt.
Chapter
19. Urine Trouble.-
Chapter
20. When Little Girls Will Not Pee.
Chapter
21. Not as Clear as it
May Seem.
Chapter
22. Collateral Damage Caused by Thumb Sucking.
Chapter
23. Optimising Scar Outcomes in Children.
Chapter
24. 15 Seconds of Silence
is Golden.
Chapter
25. If you Always Look, You Sometimes Find Zebras.-
Chapter
26. Have you Thought About Quitting?.
Chapter
27. Enhancing
Attachment Between Young Children with Autism and their Parents.
Chapter
28.
Define Normal.
Chapter
29. Salbutamol and Elevated Lactate.
Chapter
30.
Children Dont Read Textbooks.
Chapter
31. A Masquerader of an Acute
Surgical Abdomen.
Chapter
32. Manage the Patient, Not the Numbers.
Chapter
33. A Pinch of Salt.
Chapter
34. Too Hot to Play: Heat Stroke in Children.-
Chapter
35. Beware the Child with Unequal Leg Length.
Chapter
36. Beware the
Child with a Swollen Joint.
Chapter
37. First Ask Yourself How Young is
Too Young?.
Chapter
38. Diagnosing Attention Deficit Hyperactivity Disorder
(ADHD) may be a Challenge.
Chapter
39. Children and Alcohol.
Chapter
40.
Dont Forget to Look!.
Chapter
41. Scratching the Surface.
Chapter
42. Keep
the Child at the Centre of the Consultation.
Chapter
43. The Three Magic
Wishes Question can Open a Window to the Childs Mind.
Chapter
44. Talk to
the Hand: Part 1.
Chapter
45. Lets Be Aware of Trauma from our System.-
Chapter
46. Difficult Behaviour in Children has Meaning.
Chapter
47. A
Spoonful of Medicine Makes the Sugar Go Down?.
Chapter
48. A, B, C .
DEFG.
Chapter
49. To Block or not to Block?.
Chapter
49. Caution, but
Perspective, in Paediatric Bone Lesions.
Chapter
50. Learning at School is
Everyone's Business: the Paediatricians Role.
Chapter
51. Dysphonia in
Children When Should I be Worried.
Chapter
52. An Online Friend is a
Real-Life Stranger.
Chapter
53. Adolescence Opportunities in the Clinical
Encounter.
Chapter
54. Children with Disability Need Teeth too.
Chapter
55.
Beyond the Neonatal Intensive Care Unit (NICU).
Chapter
56. Everyone
Blooms.
Chapter
57. It Takes a Team to Transition.
Chapter
58. Too Tired to
Teen.
Chapter
59. Breathing Difficulty During Exercise.
Chapter
60. Why
does Nocturnal Enuresis Sometimes Continue into Adolescence?.
Chapter
61.
Dont Ignore Period Pain.
Chapter
62. Act Fast on Acne.
Chapter
63. Reasons
for a Racing Heart.
Chapter
64. Not all Depressive Symptoms are Depression.-
Chapter
65. Weaning SSRI Medications Thoughtfully.
Chapter
66. Look Beyond
What You See.
Chapter 67.Talk to the Hand: Part 2.
Chapter
68. Context is
Always Important.
Chapter
69. Are Big Ears a Big Problem?.
Chapter
70. The
Judicious Use of Silliness.
Chapter
71. Assumption is the Birthplace of Poor
Decision Making.
Chapter
72. The Dos, Donts, and Dont Knows.
Chapter
73.
Managing Family Expectations: Uncertainty is Common in Paediatric practice.-
Chapter
74. Travelling Overseas to Visit Family and Friends is more Dangerous
than Disneyland.
Chapter
75. Do All Child Travellers Need BCG Vaccination?.-
Chapter
76. There is no Such Thing as a Difficult Parent.
Chapter
77. One
Team: Parents as Experts in their Child.
Chapter 78.Help Parents Help You.-
Chapter
79. A Worried Parent is the Most Important Vital Sign.
Chapter
80.
Three Strikes and youre in.
Chapter
81. A Sick Child in ED Who Needs an
Airway: HELP.
Chapter
82. Critically Ill Patients: Oxygen is Essential; an
Endotracheal Tube is Not.
Chapter
83. Venous Access: We Can - and Should -
Do Better.
Chapter
84. Its Just a Needle.
Chapter
85. Knowledge is Power.-
Chapter
86. Improving Medication Safety During Resuscitation.
Chapter
87.
The Other Side of the Bed.
Chapter
89. To Heal the Body, We Must Also
Comfort the Soul.
Catherine F Lynch is a Consultant Paediatrician. She studied undergraduate medicine at the University of Tasmania, and trained in Sydney, Toronto and Melbourne, attaining her Fellowship in Paediatrics from the Royal Australasian College of Physicians (FRACP) in 2002. She holds a Masters of Bioethics (2000) from Monash University. She is the inaugural Clinical Advisor for Paediatrics and Adolescent medicine for Alfred Health (2016-present). Dr Lynch has been involved in undergraduate and postgraduate teaching throughout her career. She has interests in quality and safety, disability and transition for children into adult health services.
Sarah Arachchi is a General Paediatrician at Monash Childrens Hospital (Monash Health), in Melbourne, Victoria and currently works in the Paediatric Emergency Department as well as two private paediatric clinics. She graduated from Monash University in 2008 with Honours and became a fellow of the RACP in 2017. She also holds a Diploma in Child Health from the University of Sydney. Dr Arachchi has organised multiple medical conferences in Australia, co-convenes RACP educational sessions for the Victorian further education for paediatricians and advanced trainees (VicFEAT), and is also the current chair of the women in medicine committee of the Australian Medical Association (AMA) Victoria. Dr Arachchi also recently published her memoir, Brown. Female. Doctor. (Monash University Publishing),and has also written articles for the media including Women's Agenda, the Australian Broadcasting Corporation (ABC) and Guardian newspapers.
Sharmayne Brady is a Rheumatologist working in private practice in Melbourne and is a senior staff specialist with Alfred Health. She graduated from her Bachelor of Medicine degree with first class honours and also completed her PhD with Monash University. She was supported by a prestigious National Health and Medical Research Council (NHMRC) Clinical Postgraduate Research Scholarship. She has published 16 papers in leading peer-reviewed journals and has presented her research in several leading international and national conferences over the past 10 years. She has also recently co-edited a medical textbook for junior doctors called Clinical Integration: Medicine, published in 2021 as well as Beyond Evidence-Based Medicine: Clinical Pearls from Experienced Physicians, published in 2023. She has a keen interest in the education of junior doctors and hopes that her work will significantly improve patient care.
Ar Kar Aung is a General and Infectious Diseases physician at Alfred Health in Melbourne, Victoria. He graduated from the University of Melbourne in 2004, attained his Fellowship of the Royal Australasian College of Physicians (FRACP) in 2012. He completed a Master of Public Health and Tropical Medicine at James Cook University in 2015. He is the Vice President and a Board Director of the Internal Medicine Society of Australia and New Zealand (IMSANZ) and holds an adjunct clinical associate professor position at Monash University. He was also the past Chair of the IMSANZ Research Network. He has published more than 70 peer-reviewed articles, numerous clinical guidelines and book chapters, and co-edited two medical textbooks. He serves as an editor of internal medicine specialty at the Internal Medicine Journal. He has interests in medical education, clinical medicine, quality improvement research, health service and clinical research, medication safety and adverse drug reactions.
Ralph Junckerstorff is an adult General (Internal) Medicine and Infectious Diseases physician at Monash Health in Melbourne, Victoria. He graduated from undergraduate medicine from the University of Western Australia in 2000 and became a fellow of the Royal Australasian College of Physicians in 2010. He also holds a Diploma of Tropical Medicine from the University of Liverpool (UK). He is passionate about education, teaching and learning from others. He is a co-editor of the books Beyond Evidence-Based Medicine: Clinical Pearls from Experienced Physicians and Leadership Pearls in Healthcare.
